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Replacement Molded Thigh Lacer

Minnesota rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $427$4,0740%20%10th90th$871Professionalmedian $501 · 10th–90th $302$5750%50%10th90th$501$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$741.31
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$4,073.80
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$229.09
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$707.95